Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.97 / $191.97 / $426.66	Facility		$191.97	$191.97	$426.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $99.76 / $184.56	Professional		$57.59	$99.76	$184.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.03 / $830.88 / $830.88	Professional	50	$407.03	$830.88	$830.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $81.50 / $179.82	Professional		$69.27	$81.50	$179.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Facility		$81.50	$81.50	$81.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $118.73 / $211.27	Professional		$56.75	$118.73	$211.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $87.09 / $150.91	Facility		$40.50	$87.09	$150.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $121.34 / $219.24	Professional		$68.29	$121.34	$219.24
United Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Facility		$135.78	$135.78	$135.78
United Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $179.94 / $239.58	Professional		$146.38	$179.94	$239.58